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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... procedures, and training and in compliance with regulations set forth by ... the FMCNA commitment to the..
Job Information Humana Quality Improvement Coordinator in Duluth Minnesota ... in Duluth Minnesota Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
... who will lead teams of healthcare professionals responsible for care management ... objectives to remain committed to quality initiatives. Ensure team process and ... requirements through participation in proactive..
... procedures to ensure provision of quality patient care on a daily ... all company, state and federal compliance. PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY:Responsible for supporting and driving quality standards..
... to serving patients and providing quality dental care. If you are ... are the second highest ranked healthcare provider in the U.S. Your ... to help you give high..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are ... courses of action. Responsibilities The Quality Compliance Professional 2..
... who will lead teams of healthcare professionals responsible for care management. ... objectives to remain committed to quality initiatives. Ensure team process and ... requirements through participation in proactive..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..